Facility Evaluation Report
Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the Care Inspection Tool. LPA was allowed entry by Lead Staff (LS) Michelle Torres after explaining the purpose of the visit. Administrator (Admin) Maria Amedo arrived upon notification of LPA's arrival.
The facility offers a service level 4G. The facility is a two story structure in a residential neighborhood. Facility is licensed to operate four (4) non ambulatory clients from age ranges 18-59. LPA observed three clients getting ready to leave for the day with one staff present during today's visit.
LPA toured the physical plant. There are four client bedrooms with two bedrooms on each floor and three client bathrooms. LPA observed all common areas which includes the office on the second floor and two car garage which doubled as a laundry area. Based on LPA's observation, the facility was not clean and sanitary. The kitchen pantry and refrigerator required a deep cleaning as there were evidence of food particles and stains. Holes were observed on the walls and bathroom door. There were dirt stains on the carpeted staircase that require a deep cleaning. A tear was present on the sliding door screen on the first floor. The client bedrooms were appropriately furnished and had the required components. Beds and extra supply of linens were observed to be in good condition, adequate lighting was provided, and sufficient storage space for each clients' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 111.9, 111.4, and 111.3 degrees Fahrenheit. All bathrooms maintained soap and toilet/paper towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. Toxins, disinfectants, sharps, and medications were also secured and inaccessible. There is a minimum of two day perishable food and one week of non-perishable food available.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction